Revenue Integrity Specialist

Posted 3 Days Ago
Be an Early Applicant
Portsmouth, NH, USA
In-Office
Junior
Healthtech • Other • Social Impact • Telehealth
Making good health more convenient for all.
The Role
Support accurate charge capture, coding, and billing across urgent care, primary care, and lab services. Review documentation, verify coding (CPT/ICD-10/HCPCS), resolve billing issues, monitor workflows, generate reports, and collaborate with clinical, coding, and billing teams to ensure timely, compliant claim submission and revenue integrity.
Summary Generated by Built In

At ConvenientMD, we’re on a mission to make good health more convenient for all – working to improve how patients and providers experience healthcare in New England. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another. 

The Opportunity 

The Revenue Integrity Specialist supports the accuracy, completeness, and timeliness of charge capture, coding, and billing processes across ConvenientMD service lines, including Urgent Care, Advanced Primary Care, and Laboratory services.

This role supports operational revenue cycle workflows through charge review, billing issue resolution, claim validation, operational monitoring, and workflow support activities designed to ensure accurate claim submission, billing integrity, and reimbursement performance across front-end, mid-cycle, and back-end revenue cycle processes.

The Revenue Integrity Specialist works collaboratively with clinical, coding, billing, operational, and revenue cycle teams to identify, investigate, and resolve issues impacting charge capture, claim accuracy, reimbursement, operational efficiency, and clean claim submission while supporting revenue integrity and operational improvement initiatives.

Your Impact 
  • Collect, verify, and enter charge data related to patient services and procedures.
  • Review clinical documentation to ensure services performed are accurately reflected in billing records.
  • Confirm coding accuracy and alignment with CPT and ICD-10 standards.
  • Investigate missing or incomplete charges and collaborate with clinical teams to resolve discrepancies.
  • Maintain detailed documentation supporting billing accuracy and regulatory compliance.
  • Monitor charge capture workflows to identify trends, gaps, or opportunities for improvement.
  • Partner with billing and coding teams to support timely and accurate claims submission.
  • Assist in educating clinical and administrative staff on charge capture workflows and best practices.
  • Stay current on payer requirements, billing regulations, and coding updates.
  • Generate reports and insights that support revenue integrity and operational improvement.
Who You Are 
  • Healthcare revenue cycle experience: 2+ years of experience in healthcare revenue cycle, billing, charge capture, coding support, healthcare operations, or a related field
  • Systems knowledge: Experience with EMR, billing, or revenue cycle systems
  • Knowledge of payer requirements: Basic knowledge of CPT, HCPCS, ICD-10 coding concepts and payer billing requirements
  • Revenue cycle knowledge: Knowledge of charge capture workflows and revenue cycle processes
  • Analytical and problem-solving skills: Strong organizational, analytical, and problem-solving skills
  • Investigative mindset: Ability to investigate issues, identify patterns, and support operational resolution
  • Attention to detail: Strong attention to detail and ability to manage multiple priorities in a fast-paced environment
  • Communication and collaboration skills: Effective communication and collaboration skills
Why You'll Love Working With Us
  • Collaborative team environment that encourages professional growth
  • Urgent care services at no cost to our team members and their families
  • Extensive benefit offerings including health, dental, and vision coverage, company paid short-term disability, and optional pet insurance
  • 401k match after one year of service 
  • Access to our primary care (depending on location)
  • Educational Alliance with Purdue University Global and reduced tuition rates for team members and their families 
  • Employer rewards and access to discounts offered on services and products such as hotels, travel, entertainment, restaurants, and more

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants rarely meet every single job requirement, and we appreciate that many skills and backgrounds can make people successful in this role. We are committed to creating a strong sense of belonging for all team members, and our process is designed to prevent discrimination against applicants regardless of gender identity, sexual orientation, religion, ethnicity, age, disability status, or any other aspect which makes you unique. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. 

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Skills Required

  • 2+ years experience in healthcare revenue cycle, billing, charge capture, coding support, or related field
  • Experience with EMR, billing, or revenue cycle systems
  • Knowledge of CPT, HCPCS, ICD-10 coding concepts and payer billing requirements
  • Knowledge of charge capture workflows and revenue cycle processes
  • Strong organizational, analytical, and problem-solving skills
  • Ability to investigate issues, identify patterns, and support operational resolution
  • Strong attention to detail and ability to manage multiple priorities in a fast-paced environment
  • Effective communication and collaboration skills with clinical and administrative staff

ConvenientMD Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about ConvenientMD and has not been reviewed or approved by ConvenientMD.

  • Wellbeing & Lifestyle Benefits Free urgent care for employees (and in some cases family) and access to an Employee Assistance Program are called out, alongside perks like pet insurance and snacks. These offerings add day-to-day value beyond core medical coverage.
  • Leave & Time Off Breadth Paid time off and paid holidays are part of the package, and the company has noted increases to PTO. These elements broaden time-away benefits for many roles.
  • Career-Linked Recognition & Rewards CMD University provides paid MA and LXMO programs, CEU access, and structured clinical training and fellowships. Paid training supports advancement and skill development.

ConvenientMD Insights

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The Company
HQ: Portsmouth, New Hampshire
644 Employees
Year Founded: 2012

What We Do

At ConvenientMD we’re on a mission to make good health more convenient for all. By putting people first, we can improve how patients and providers experience healthcare. Today, we are the leading urgent care provider in New England with over 40 clinics delivering high-quality care that saves people time and money. Looking forward, we are not only bringing our brand of urgent care to more cities and towns, but we’re also launching a more convenient and effective primary care. We feel a responsibility to protect the health of our communities, our employees, and our partners to help ensure as many as possible can prosper now and in the future.

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